Organization
NANCY J BROOKE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J BROOKE M.D. (PRESIDENT)
(616) 447-7200
Entity
Organization
Contact information
Practice address
1525 E BELTLINE AVE NE STE 102, GRAND RAPIDS, MI 49525-4598
(616) 447-7200
(616) 447-9773
Mailing address
1525 E BELTLINE AVE NE STE 102, GRAND RAPIDS, MI 49525-4598
(616) 447-7200
(616) 447-9773
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
NB049930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642755
—
MI
Enumeration date
03/27/2008
Last updated
03/27/2008
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